Validating a Child Youth Resilience Measurement (CYRM-28) for Adolescents Living With HIV (ALHIV) in Urban Malawi.

Autor:	Kaunda-Khangamwa BN; School of Public Health, University of the Witwatersrand, Johannesburg, Johannesburg, South Africa.; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.; Malaria Alert Centre, College of Medicine, University of Malawi, Blantyre, Malawi., Maposa I; School of Public Health, University of the Witwatersrand, Johannesburg, Johannesburg, South Africa., Dambe R; Umodzi Family Centre, Blantyre, Malawi., Malisita K; Umodzi Family Centre, Blantyre, Malawi., Mtagalume E; Umodzi Family Centre, Blantyre, Malawi., Chigaru L; Umodzi Family Centre, Blantyre, Malawi., Munthali A; Centre for Social Research, Chancellor College, University of Malawi, Zomba, Malawi., Chipeta E; Centre for Reproductive Health, College of Medicine, University of Malawi, Blantyre, Malawi., Phiri S; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.; Lighthouse Trust, Lilongwe, Malawi., Manderson L; School of Public Health, University of the Witwatersrand, Johannesburg, Johannesburg, South Africa.; School of Social Sciences, Monash University, Clayton, VIC, Australia.; Institute at Brown for Environment and Society, Brown University, Providence, RI, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in psychology [Front Psychol] 2020 Aug 31; Vol. 11, pp. 1896. Date of Electronic Publication: 2020 Aug 31 (Print Publication: 2020).
DOI:	10.3389/fpsyg.2020.01896
Abstrakt:	Resilience as a strength-based notion, measured across cultures, age groups, and sub-populations, contributes to understanding health and well-being. Yet, there is limited evidence of how the construct performs in resource-limited countries. We explored the psychometric properties of the CYRM-28 and validated the scale with adolescents living with HIV (ALHIV), a key sub-population. The participants included members of an advisory panel and 406 ALHIV, aged 15-19 years, attending an antiretroviral therapy and teen-club clinic in Blantyre, Malawi. This study employed a mixed-method study using an exploratory sequential design. The advisory panel discussed the CYRM-28, and select ALHIV then translated it into Chichewa, pilot-tested it using cognitive interviews, and back-translated it for clarity and appropriateness. The resultant CYRM-28 was tested using a survey with purposefully selected ALHIV. The overall median score was 123, with an interquartile range of 110-130. Minimum and maximum scores were 53 and 140. Cronbach's alpha of 0.863 and Kaiser-Meyer-Olkin measure (0.866) confirmed internal consistency and the sample size adequacy, respectively. Bartlett's tests of sphericity ( p < 0.001) informed factor analysis. Exploratory factor analysis determined possible dimensions of resilience and the sub-scales. The confirmatory factor analysis (CFA) confirmed the construct validity and supported a three-factor model consistent with the conceptualization of resilience as a multi-dimensional construct. Structural equation modeling was applied to perform CFA to measure model of resilience. Multiple fit indices showed a good fit for the model. The CYRM-28 has good internal consistency, test and re-test reliability, and moderate convergent validity which render it useful as a self-report resilience measure to inform and evaluate interventions for the health and well-being of adolescents in Malawi. (Copyright © 2020 Kaunda-Khangamwa, Maposa, Dambe, Malisita, Mtagalume, Chigaru, Munthali, Chipeta, Phiri and Manderson.)
Databáze:	MEDLINE
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